Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.00 / $4,200.00 / $5,549.00	Facility		$1,159.00	$4,200.00	$5,549.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,216.60 / $2,694.84 / $4,749.60	Professional		$2,216.60	$2,694.84	$4,749.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,550.74 / $29,538.40 / $59,150.64	Facility		$13,550.74	$29,538.40	$59,150.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,068.02 / $3,675.71 / $4,589.41	Professional		$3,068.02	$3,675.71	$4,589.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $785.00 / $2,847.56	Facility		$400.00	$785.00	$2,847.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,379.21 / $3,610.01 / $5,481.58	Professional		$2,379.21	$3,610.01	$5,481.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,728.12 / $4,243.14 / $10,261.54	Professional		$2,728.12	$4,243.14	$10,261.54
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2,849.35 / $3,252.22 / $3,655.76	Professional		$2,849.35	$3,252.22	$3,655.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $4,133.82	Professional		$32.34	$32.34	$4,133.82
United Facility/Professional Facility Modifier Low / Median / High Price $557.00 / $2,873.00 / $6,625.00	Facility		$557.00	$2,873.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,371.76 / $3,311.71 / $5,778.42	Professional		$2,371.76	$3,311.71	$5,778.42